Naslov
Comparison of general and spinal anaesthesia in patients undergoing open ventral hernia repair

Autori
Krobot, Renata ; Premužić, Jadranka

Izvornik
Periodicum biologorum (0031-5362) 115 (2013), 2; 225-229

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, izvorni znanstveni članak, znanstveni

Ključne riječi
abdominal wall hernia; adult; article; artificial ventilation; bradycardia; cerebrospinal fluid;

Sažetak
Background and Purpose: Ventral hernioplasty is common intervention that can be performed under general or regional anaesthesia. We compared TIVA and spinal anaesthesia in patients undergoing elective open ventral hernia repair. Materials and Methods: Forty ASA I-II adults received either TIVA with propofol, midazolam, fentanyl and rocuronium (group GA, n=20) or spinal anaesthesia (L3-L4) with hyperbaric bupivacaine 0.5% 10mg+ sufentanil 10 mg (group SPA, n=20).Hemodynamic data, pain scores, time to first analgesic and side-effects were recorded. Results: Ventral hernia was umbilical in 6, supraumbilical in 6 and infraumbilicall in 8 group GA and in 7, 6 nad 7 group SPA patients, respectively, P > 0.05. Maximum decrease of systolic arterial pressure (SAP) was 10±6 inGA and 21±6% in SPA group, P < 0.05 and ofHR11±5 and 17±7%, P > 0.05, respectively. Pain scores at 0, 2, 4 and 8 h after surgery were 4 (2-6), 5 (2-7), 5 (1-6) and 4 (2-6) in GA and 0, 0, 0 (0-2) and 1 (0-3) in SPA group, respectively, P < 0.05. Pain scores at 12 and 24 h were 4 (1-5) and 3 (0-4) in GA and 2 (0-4) and 1 (0-3) in SPA group, respectively, P > 0.05. Time to first analgesic was 28±10 inGA and 580±138 min in SPA group, P < 0.001. Postoperative nausea and vomiting (PONV) had 7 (35%) group GA and 1 (5%) group SPA patients, P < 0.05. Conclusions: General anaesthesia resulted in more stable hemodynamic profile but spinal anaesthesia provided better postoperative pain control and less PONV in patients undergoing open ventral hernia repair.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA